Organization Active NPI

Daniel Woodward DC PLLC

Doing business as Doc's Body Shop Chiropractic

  • Chiropractor
  • Rockwall, TX
National Provider Identifier
1184117129
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13146 Issued in TX
Legal business name
DANIEL WOODWARD DC PLLC
Doing business as
Doc's Body Shop Chiropractic
Practice address
3084 N Goliad St Ste 114
Rockwall, TX 75087-7164
Phone
(972) 722-2500
Fax
(972) 722-7382
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Woodward, DCNPI 1477959591
Title
Chiropractor
Phone
(972) 722-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13146 TX Primary

Addresses

Primary practice location

3084 N Goliad St Ste 114
Rockwall, TX 75087-7164

Mailing address

3084 N Goliad St Ste 114
Rockwall, TX 75087-7164
Phone (972) 722-2500

Other names 1

  • Doc's Body Shop Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180723001468 TX Part B Supplier - Clinic/Group Practice 3072860071 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

3084 N Goliad St
Rockwall, TX 75087
Phone (972) 722-2500

3084 N Goliad St
Ste 114
Rockwall, TX 75087
Phone (972) 722-2500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1184117129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877164",
            "telephone_number": "972-722-2500",
            "fax_number": "972-722-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877164",
            "telephone_number": "972-722-2500",
            "fax_number": "972-722-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WOODWARD DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-722-2500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc's Body Shop Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.